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Building Permit #442 - 71 PADDOCK LANE 12/10/2009
BUILDING PERMIT o* NORTH TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION Permit NO: 2 Date Received X14"0 Area®�" 9SS^CHUs�t Date Issued: MP RTANT:Applicant must complete all items on this page LOCATION__J l VIA IA O C.,K L11 Print PROPERTY OWNER ��y. �V L� Print MAP NO: //� 7PARCEL�ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential .New Building One family Addition Two or more family Industrial No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sep Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: s�l� �-Q—r.� �1� l dig �— ca��-�'r3�►�-� �� i ,�w Identification Please Type or Print Clearly) OWNER: Name: .�©lt �r�i�!-f �/ Phone: 9-lb!-6 g 7-Oeq S-7 Address: l 044CL,0 O-e-,prer - CONTRACTOR Name: •W. St t3ry+�9 �w+s- Phone: Address: Supervisor's Construction License: � �� Exp. Date: 0/` 3//© Home Improvement License: /,�-6 9 3 2..... Exp. Date: 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0 6' 700 s FEE: $ c Check No.: �2 Receipt No.: NOTE: Persons contractswith unregiste d contractors do not have access to the guaranty fund 'Signature of Agent/Owner _ _ Signature of contractor-T � Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes �lafnaLpg Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location 7/ /d,66 01- % i No. 2 Date 2 /o Err' HORTM TOWN OF NORTH ANDOVER � a ' Certificate of Occupancy $ b+„ w CMS<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3/�4�; 2260 �/j Building Inspector I The dmmonwnafl-h of Massachusetts Department of Fire Services Office of e _ th State Fire Marshal . .. P.0.Box 1025 SL —Stow, pRMA 01775 PERMIT M I 1 Date: North Andover ]Permit No (City of Town) (if Applicable) .Dig Safe Num er In accordance with the provisions of M G L l Li$,Ghap.ter�_as provided in section S 22—CMR 34 This Permit is granted to: r LV " ( � ({�} �� � - c ., S Date Full name of person,Firm or Corporation Permissionto locate dumpster for construction/renovation/demolition of building. Comment: dumpster must be . 25 ' from structure if unable to place with Restrictions: required dumps-ter must be covered with pl wood or tarp end of 'work -day at -0C-(C— (Give location by street and no.,oc describeins ch mannec grovied adequate identification of location) FeePaidS 50.00 Fire Chief This Permit will expire _ U-10 (S ignature of offical granting permit) Offical granting permit (Title) NORTH Town of 4Andover . O ,:.�, lam..F�' ��" ��. \•. No. 44Z A K E dover, Mass., i?1 16 COC MIC ME WICK yq. 7�ADRATED PPS` �C S BOARD OF HEALTH PER IT T D Food/Kitchen Septic System ` BUILDING INSPECTOR THIS CERTIFIES THAT....... �.�.N.. �� /� ....................,... ............................. ......./..................................... Foundation has permission to erect........................................ buildings on ...71. ..0 4?.... ..../.-Y............................. Rough to be occupied as /-)/ ...(,;.u.f..^l.el'0.4-?-5.................................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and.By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building, Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR . UNLESS CONSTRUCTION STARTS Rough .................................. .. .. - Service BUILDING INSPECTOR Final ` Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough .Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. A SEE REVERSE SIDE Smoke Det. ACORV CERTIFICATE OF LIABILITY INSURANCE °A�`""M'°"'"'"I `� 12/10/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Judith Pinney Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 325 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Reading, MA 01864 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Patrons Mutual G. W. Siding Inc INSURERB: Workers Compensation Rating B 54 Delwood Road INSURER C: Tewksbury, MA 01876 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE IMM1DDfYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY CTROO10755 9/23/09 9/23/10 PREMISES Ea occurrence $ 50,000 CLAIMS MADE 7 OCCUR MED EXP(Any one person) $ 5 000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO LOC AUTOMOBILE LIAR UTY COMBINED SINGLE LIMIT $ ANYAUTO .(Ea accident) ALLOWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONX WC STA TU- OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y� AWC701973812009 9/24/09 9/24/10 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TOWN OF NORTH ANDOVER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1600 OSGOOD STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR NORTH ANDOVER, MA 01845 REPRESENTATIVES. AUTHORIZED REPRESENTE U ACORD 25(2009/01) ©1988-2009 A RDC PORAT4 All rights reserved. The ACORD name and logo are registered marks of ACORIY fin,.>_ ....m....._.,..�,_..-..,.._ -._... ......__ _;._... ,_.. .� �1ae onuvaa a�./�aaacre�i�tae%a :. Office of Consumer Affairs&$$usiness Regulation HOME IMPROVEMENT CONTRACTOR Registration: ,156832 Expiration:': 8%9/2011 Tr# 287257 Type._, Private Corporation G.W.SIDING INC GEORGE WARD ..... 54 DELWOOD RD TEWKSBURY,tAkG1�876::r� Undersecretary �` :rt � ✓`re �io?re�mo7uuea� o�,.�.craoac�ucaP,t�a 1` BOARD OF.BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 094848 Birthdate:.09/03/19, 5 Expires: 09/03/2010 Tr.no: 94848 Restricted: 00 as` GEORGE SWARD III" 54 DELWOOD ROAD G TEWKSBURY, AiA:101876 t Commissioner w 0056 G. W. SIDING INC. 01 54 Delwood Road Tewksbury, Ma 01876 TEL: (978) 658-3065 To: Job: John and Patty Fouhy SAME 71 Paddock rd. N. Andover, Ma. Labor and Materials to: *Remove old siding and corner boards on entire house *Remove roof shingles over back addition on kitchen ***Inspect all sheathing for rot or other damage and fix as needed for price not included*** *Roof and Flash addition.Grace ice and watershield installed first *Install TYVER HOJSEWRAP on house *Install new P.V.C. corner boards and garage door trim *Install factory painted 61/4" HARDI-BOARD siding on entire house. 5" ttw *Caulk siding with color match caulking $16,800. Labor and materials to: *Remove 13 existing windows and trims *Install 13 new construction windows as listed on quote #115005 from Jackson Lumber dated 11/5/09 *Trim interior of all windows and exterior of 5 (8 need no exterior trim) _$9,900. TOTAL $26,700.00 PROPOSAL -c. -0r.L . PROPOSAL NO. G'Jw QA- SHEET NO. a �kS C3� i�..( , �vtF�• DATE t (_ 1 0 - 09 PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME ADDRESS ADDRESS ti,` t4A CIO v-� 14DATE OF PLA r PHONE NO. ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work, and completed in a substantial workmanlike manner for the sum of IG-iL�n Sl X �iG�r�vS d kAu V-'a(r�-�—c�— Dollars ($ aill 11 Oo ) with payments to be made as follows: �..� « � ©S t Respectfully submitted Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge -fir�? JIe�r over and above the estimate. All agreements contingent upon strikes, ac- cidents,or delays beyond our control. Note - This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date / d d Signature -. D818 edema MADE IN MEXICO PROPOSAL